No. of Recommendations: 3
You can't just decide one day to be Black.Entering the transgender pathway isn't a decision taken lightly or to gain perceived advantages. It puts into action the transition to being able to live the reality that these individuals have been aware of within themselves for years.
Ambiguity occurs externally as well as internally. About 1 in every 5000 births involves "ambiguous genitalia," which includes atypical sex-chromosomal, gonadal, or anatomical sex.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC78454...(DSD).
Some of these infants are born with both sets of genitals. A very very careful and highly complex evaluation has to be made in the attempt....not always successful....to determine the infant's apparent sex, both to help the family cope with the situation and to "help to foresee with which gender the child might identify later on in life." There are multiple causes of ambiguous genitalia. In some diagnostic groups the determination of sexuality is achieved most of the time. In others it's achieved only 20-60% of the time. I know from literature that I've encountered back in the past that surgery is an important tool in producing clarity after this determination, and hormonal treatments can also be used.
Since this multiple-causality ambiguity and lack of coherence can exist on the outside, where it's observed visually and thus accepted as real, it's only logical that such dissonance exists from birth in some people between internally experienced vs outwardly appearing physical sexual identity.....but without external evidence. The diagnostic tools may not yet exist, but it's a question of time.
